Remote Home Health Regulatory & Licensure Analyst

Humana Inc

United States

Remote

USD 59,000 - 70,000

Full time

3 days ago
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Benefits offered by this job

Medical, dental and vision benefits
401(k) retirement savings plan
Paid time off and holidays
Disability and life insurance

Job summary

CenterWell Home Health, a Humana company, is seeking a Home Health Facility Licensure & Regulatory Compliance Analyst. The role reports to the Manager, Home Health Licensure & Regulatory Compliance and focuses on ensuring facility licensing, ongoing regulatory compliance, and support for delivering compliant, high-quality home health services.

Responsibilities include managing license applications, renewals, and Medicaid/Medicare enrollment while coordinating cross-department collaboration and

Qualifications

  • Bachelor's degree in healthcare administration, Nursing, or related field; relevant experience may be considered in lieu of degree.
  • Minimum of 5 years of experience in healthcare compliance, facility licensing, or regulatory affairs, preferably in home health.
  • Knowledge of CMS regulations, State facility licensing requirements, and accreditation standards.
  • Experience interpreting and applying complex regulatory information.
  • Strong organizational skills and attention to detail.

Responsibilities

  • Ensure compliance with federal, state, and local healthcare regulations, including CMS guidelines.
  • Prepare and submit required facility license applications and renewals to the State Department of Health, Federal, and local agencies.
  • Oversee and manage Medicaid and Medicare enrollment, renewal, and compliance activities.
  • Track expiration dates and coordinate renewal processes to prevent lapses in facility licensure.
  • Development and maintenance of working relationships with representatives of various internal departments and external regulatory agencies.
  • Conduct research on local, state, and federal statutes and regulations to support organizational initiatives, providing clear and concise written reports of findings.
  • Conduct due diligence and analysis related to healthcare acquisitions, mergers, and facility relocations.

Skills

Regulatory compliance
CMS regulations
Regulatory reporting

Education

Bachelor's degree in healthcare administration or related field

Job description

CenterWell Home Health, a Humana company, is seeking a Home Health Facility Licensure & Regulatory Compliance Analyst. The role reports to the Manager, Home Health Licensure & Regulatory Compliance and focuses on ensuring facility licensing, ongoing regulatory compliance, and support for delivering compliant, high-quality home health services.

Responsibilities include managing license applications, renewals, and Medicaid/Medicare enrollment while coordinating cross-department collaboration and

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